[0001] The present invention relates to multicomponent systems comprising raltegravir potassium
and selected co-crystal formers, to pharmaceutical preparations comprising said systems,
and specifically to homogenous crystalline phases (cocrystals) comprising raltegravir
potassium and selected co-crystal formers. The invention also relates to processes
for preparing said multicomponent systems and crystalline phases. The invention also
relates to compositions comprising said multicomponent systems or crystalline phases
and pharmaceutically acceptable carrier, and to methods of using said multicomponent
systems or crystalline phases to treat HIV infections.
[0002] Raltegravir is the synonym of the name: N-[2-[(4Z)-4-[[(4-fluorophenyl)methylamino]-hydroxymethylidene]-1-methyl-5,6-dioxopyrimidin-2-yl]propan-2-yl]-5-methyl-1,3,4-oxadiazole-2-carboxamide
(due to its enolic structure also known as 4-fluorobenzyl-aminocarbonyl-5-hydroxy-6-oxo-1-methyl-2-(1-methyl-1-([(5-methyl-1,3,4-oxadiazol-2-yl)carbonyl]amino)ethyl)-1,6-dihydropyrimidine),
specifically shown in formula (1)

[0003] It is known to act on the integrase, an HIV enzyme that integrates the viral genetic
ma-terial into human chromosomes, a critical step in the pathogenesis of HIV. Raltegravir
is useful in the treatment of HIV infections; its marketed product Isentress® contains
raltegravir as potassium salt:

[0004] In
WO 06/ 060712 are disclosed two crystalline forms of raltegravir potassium.
[0005] In
WO 10/ 140156 are disclosed an anhydrous and a hydrate crystalline forms of raltegravir potassium,
hereafter referred to as form 1 and form H1.
[0006] In
WO 11/0241924 are disclosed an amorphous and two crystalline forms (referred to as form A and form
B) of raltegravir free hydroxy potassium. Three crystalline form of raltegravir potassium
are disclosed and hereafter referred to as form A, form B and form C.
[0007] WO 11/ 067236 discloses further crystalline forms of ralregravir free hydroxy, hereafter referred
to as form 1 and form 2.
[0008] WO 11/ 123754 discloses crystalline forms of raltegravir salts with potassium (16 pcrystalline
forms), sodium (3 crystalline forms), lithium, calcium, tert-buthylamine, diethylamine,
diisopropylamine.
[0009] In
EP 2522665 are disclosed further crystalline forms of raltegravir potassium, hereafter referred
to as form A to form H .
[0010] WO 12/137142 discloses novel raltegravir salts with meglumine, erbumine, ammonium, tris, L-arginine.
[0011] Existing solid forms of raltegravir and its salts leave room for improvement of physical
as well as biological characteristics. There exists a need for other solid forms,
especially crystalline forms, of N-[2-[(4Z)-4-[[(4-fluorophenyl)methylamino]-hydroxymethylidene]-1-methyl-5,6-dioxopyrimidin-2-yl]propan-2-yl]-5-methyl-1,3,4-oxadiazole-2-carboxamide
potassium salt for sufficient diversity on crystalline materials to optimize manufacture,
formulation and biological efficiency and to control its complex polymorphism.
Summary of the Invention:
[0012] The invention provides the description of novel crystalline forms of raltegravir
potassium salt comprising raltegravir potassium and selected cocrystal formers, and
processes for manufacture thereof.
[0013] One of the said crystalline forms shows desired different physical and/or biological
characteristics which may assist in the manufacture or formulation of the active compound,
to the purity levels and uniformity required for regulatory approval. The said crystalline
form may possess improved pharmacological characteristics, for example, improved bioavailability,
thus offering enhanced possibilities to modulate and design improved drug products.
Detailed Description of the Invention:
[0014] The solid form of the invention is a composite comprising two components, which are
raltegravir potassium and a pharmaceutical co-crystal former (in the following also
denoted as coformer). In this invention, the pharmaceutical co-crystal formers contained
with raltegravir potassium within one single anhydrous phase are: cyclamic acid, saccharin,
stearic acid or succinic acid:

[0015] Raltegravir potassium and cyclamic acid or saccharin or stearic acid or succinic
acid are present in the same solid phase, preferably in the same crystalline phase,
i.e. forming a co-crystal. Preferred cocrystals are those of Raltegravir potassium
and either cyclamic acid or stearic acid.
[0016] The molar ratio of raltegravir potassium and and and cyclamic acid or saccharin or
stearic acid or succinic acid is generally in the range from 2:1 to 1:2, in particular
from 1.5:1 to 1:1.5 and especially about 1:1 (i.e. from 1.1:1 to 1:1.1).
[0017] The invention thus includes
- a) a multicomponent molecular crystal containing N-[2-[(4Z)-4-[[(4-fluorophenyl)methylamino]-hydroxymethylidene]-1-methyl-5,6-dioxopyrimidin-2-yl]propan-2-yl]-5-methyl-1,3,4-oxadiazole-2-carboxamide
potassium salt and cyclamic acid; and more specifically a1) an anydrous crystalline
form as defined under a) consisting essentially of N-[2-[(4Z)-4-[[(4-fluorophenyl)methylamino]-hydroxymethylidene]-1-methyl-5,6-dioxopyrimidin-2-yl]propan-2-yl]-5-methyl-1,3,4-oxadiazole-2-carboxamide
potassium salt and cyclamic acid, having stoichiometric ratio from 2:1 to 1:2.
[0018] Preferred solid form defined under (a1) may be further characterized by its melting
point of above 203°C (m.p. typically within the range 203 - 213°C, especially 206
- 210 °C; each as determined by DSC).
[0019] The present solid form provides better dissolution characteristic and hygroscopic
behavior, when compared with the raltegravir potassium forms previously known.
[0020] The melting point of the present cocrystal form contrasts to the melting point of
the anhydrous Raltegravir potassium (crystalline form A of
WO06060712) used as the present starting material, which is 279 °C.
[0021] Raltegravir potassium and cyclamic acid are present in the same solid phase, preferably
in the same crystalline phase, i.e. forming a co-crystal. The preferred novel crystalline
form generally exhibits a characteristic X-ray powder diffraction pattern with characteristic
peaks expressed in d-values (Å): 16.77 (vs), 13.89 (m), 6.95 (m), 4.21 (m).
[0022] More specifically, the present invention comprises a crystalline form of N-[2-[(4Z)-4-[[(4-fluorophenyl)methylamino]-hydroxymethylidene]-1-methyl-5,6-dioxopyrimidin-2-yl]propan-2-yl]-5-methyl-1,3,4-oxadiazole-2-carboxamide
potassium salt and cyclamic acid, having stoichiometric ratio from 2:1 to 1:2, which
exhibits a characteristic X-ray powder diffraction pattern with characteristic peaks
expressed in d-values (Å) as shown in the below table:
| d value |
2θ value |
Intensity |
| [Angstroem] |
[°] |
|
| 16.77 |
5.27 |
vs |
| 13.89 |
6.36 |
m |
| 10.68 |
8.28 |
w |
| 8.07 |
10.96 |
w |
| 7.48 |
11.84 |
w |
| 6.95 |
12.72 |
m |
| 6.43 |
13.77 |
w |
| 5.69 |
15.57 |
w |
| 5.34 |
16.59 |
w |
| 4.21 |
21.12 |
m |
Here and in the following the abbreviations in brackets mean: (vs) = very strong intensity;
(s) = strong intensity; (m) = medium intensity; (w) = weak intensity.
b) a multicomponent molecular crystal containing N-[2-[(4Z)-4-[[(4-fluorophenyl)methylamino]-hydroxymethylidene]-1-methyl-5,6-dioxopyrimidin-2-yl]propan-2-yl]-5-methyl-1,3,4-oxadiazole-2-carboxamide
potassium salt and saccharin; and more specifically
b1) an anydrous crystalline form as defined under b) consisting essentially of N-[2-[(4Z)-4-[[(4-fluorophenyl)methylamino]-hydroxymethylidene]-1-methyl-5,6-dioxopyrimidin-2-yl]propan-2-yl]-5-methyl-1,3,4-oxadiazole-2-carboxamide
potassium salt and saccharin, having stoichiometric ratio is from 2:1 to 1:2.
[0023] Preferred solid form defined under b may be further characterized by its melting
point of above 242°C (m.p. e.g. from the range 242 - 252°C, especially from the range
245-249 °C . The present solid form provides better dissolution characteristic and
hygroscopic behavior compared to raltegravir potassium forms previously known.
[0024] Raltegravir potassium and saccharin are present in the same solid phase, preferably
in the same crystalline phase, i.e. forming a co-crystal. The preferred novel crystalline
form generally exhibits a characteristic X-ray powder diffraction pattern with characteristic
peaks expressed in d-values (Å): 14.52 (vs), 13.93 (s), 10.70 (m), 6.96 (s).
[0025] More specifically, the present invention comprises a crystalline form of N-[2-[(4Z)-4-[[(4-fluorophenyl)methylamino]-hydroxymethylidene]-1-methyl-5,6-dioxopyrimidin-2-yl]propan-2-yl]-5-methyl-1,3,4-oxadiazole-2-carboxamide
potassium salt and saccharin, having stoichiometric ratio from 2:1 to 1:2, which exhibits
a characteristic X-ray powder diffraction pattern with characteristic peaks expressed
in d-values (Å) as shown in the below table:
| d value |
2θ value |
Intensity |
| [Angstroem] |
[°] |
|
| 14.52 |
6.09 |
Vs |
| 13.93 |
6.34 |
S |
| 10.70 |
8.26 |
M |
| 8.10 |
10.92 |
W |
| 7.52 |
11.77 |
W |
| 6.96 |
12.72 |
S |
| 6.42 |
13.79 |
W |
| 4.47 |
19.88 |
W |
| 4.40 |
20.19 |
W |
| 4.10 |
21.65 |
W |
Here and in the following the abbreviations in brackets mean: (vs) = very strong intensity;
(s) = strong intensity; (m) = medium intensity; (w) = weak intensity.
c) a multicomponent molecular crystal containing N-[2-[(4Z)-4-[[(4-fluorophenyl)methylamino]-hydroxymethylidene]-1-methyl-5,6-dioxopyrimidin-2-yl]propan-2-yl]-5-methyl-1,3,4-oxadiazole-2-carboxamide
potassium salt and stearic acid; and more specifically
c1) an anydrous crystalline form as defined under c) consisting essentially of N-[2-[(4Z)-4-[[(4-fluorophenyl)methylamino]-hydroxymethylidene]-1-methyl-5,6-dioxopyrimidin-2-yl]propan-2-yl]-5-methyl-1,3,4-oxadiazole-2-carboxamide
potassium salt and stearic acid, having stoichiometric ratio is from 2:1 to 1:2.
[0026] Preferred solid form defined under i may be further characterized by its melting
point of above 102°C (m.p. e.g. from the range 102 - 112°C, especially from the range
105-109 °C). The present solid form provides better dissolution characteristic and
hygroscopic behavior, when compared with the raltegravir potassium forms previously
known.
[0027] Raltegravir potassium and stearic acid are present in the same solid phase, preferably
in the same crystalline phase, i.e. forming a co-crystal. The preferred novel crystalline
form generally exhibits a characteristic X-ray powder diffraction pattern with characteristic
peaks expressed in d-values (Å): 24.63 (s), 16.59 (vs), 15.39 (m), 9.99 (m).
[0028] More specifically, the present invention comprises a crystalline form of N-[2-[(4Z)-4-[[(4-fluorophenyl)methylamino]-hydroxymethylidene]-1-methyl-5,6-dioxopyrimidin-2-yl]propan-2-yl]-5-methyl-1,3,4-oxadiazole-2-carboxamide
potassium salt and stearic acid, having stoichiometric ratio from 2:1 to 1:2, which
exhibits a characteristic X-ray powder diffraction pattern with characteristic peaks
expressed in d-values (Å) as shown in the below table:
| d value |
2θ value |
Intensity |
| [Angstroem] |
[°] |
|
| 24.63 |
3.59 |
s |
| 16.59 |
5.33 |
vs |
| 15.39 |
5.74 |
m |
| 12.48 |
7.08 |
w |
| 9.99 |
8.85 |
m |
| 8.37 |
10.57 |
w |
| 7.16 |
12.37 |
w |
| 5.59 |
15.84 |
w |
| 5.20 |
17.05 |
w |
| 4.54 |
19.56 |
w |
Here and in the following the abbreviations in brackets mean: (vs) = very strong intensity;
(s) = strong intensity; (m) = medium intensity; (w) = weak intensity.
d) a multicomponent molecular crystal containing N-[2-[(4Z)-4-[[(4-fluorophenyl)methylamino]-hydroxymethylidene]-1-methyl-5,6-dioxopyrimidin-2-yl]propan-2-yl]-5-methyl-1,3,4-oxadiazole-2-carboxamide
potassium salt and succinic acid; and more specifically
d1) an anydrous crystalline form as defined under a) consisting essentially of N-[2-[(4Z)-4-[[(4-fluorophenyl)methylamino]-hydroxymethylidene]-1-methyl-5,6-dioxopyrimidin-2-yl]propan-2-yl]-5-methyl-1,3,4-oxadiazole-2-carboxamide
potassium salt and succinic acid, having stoichiometric ratio is from 2:1 to 1:2.
[0029] Preferred solid form defined under d may be further characterized by its melting
point of above 244°C (m.p. e.g. from the range 244 - 254°C, especially from the range
247-251 °C . The present solid form provides better dissolution characteristic and
hygroscopic behavior, when compared with the raltegravir potassium forms previously
known.
[0030] Raltegravir potassium and succinic acid are present in the same solid phase, preferably
in the same crystalline phase, i.e. forming a co-crystal. The preferred novel crystalline
form generally exhibits a characteristic X-ray powder diffraction pattern with characteristic
peaks expressed in d-values (Å): 13.83 (vs), 10.64 (s), 9.16 (s), 6.94 (vs), 5.34
(m), 4.39 (m).
[0031] More specifically, the present invention comprises a crystalline form of N-[2-[(4Z)-4-[[(4-fluorophenyl)methylamino]-hydroxymethylidene]-1-methyl-5,6-dioxopyrimidin-2-yl]propan-2-yl]-5-methyl-1,3,4-oxadiazole-2-carboxamide
potassium salt and succinic acid, having stoichiometric ratio 1:1, which exhibits
a characteristic X-ray powder diffraction pattern with characteristic peaks expressed
in d-values (Å) as shown in the below table:
| d value |
2θ value |
Intensity |
| [Angstroem] |
[°] |
|
| 13.83 |
6.39 |
vs |
| 10.64 |
8.31 |
s |
| 9.16 |
9.66 |
s |
| 7.93 |
11.16 |
w |
| 6.94 |
12.76 |
vs |
| 6.40 |
13.83 |
w |
| 5.69 |
15.59 |
w |
| 5.34 |
16.61 |
m |
| 4.46 |
19.91 |
w |
| 4.39 |
20.22 |
m |
[0032] Here and in the following the abbreviations in brackets mean: (vs) = very strong
intensity; (s) = strong intensity; (m) = medium intensity; (w) = weak intensity.
[0033] Another object of the invention is a process for the preparation of a crystalline
form as defined above which comprises the steps of
- a) combining raltegravir potassium and the co-crystal former in a suitable solvent,
- b) agitating the mixture obtained in step (a), and
- c) separating the solid material and drying.
[0034] The solvent used in step (a) is suitably selected according to the solubility of
raltegravir potassium and of the co-crystal former. Solvent according to step (a)
preferably is a solvent or solvent system wherein each of the components raltegravir
potassium and the co-crystal former have a similar solubility. Thus, step (a) typically
leads, at least in part, to a dissolution of each of the components (herein recalled
as suspension in case that no complete dissolution is effected). Step (a) may result
in a suspension of the 2 components, or in a suspension of one component in a solution
of the other component, or in a solution of both components; preferred is a solution
of both components, and especially a suspension of both components.
[0035] The concentration of raltegravir potassium salt in step (a) may typically range from
0.1 to about 300 mg/ml of solvent (including water), preferably from 20 to 200 mg/ml.
[0036] The process is preferably carried out in the temperature range 15-50°C, for example
at ambient temperature. In a preferred process, step (c) is carried out at a temperature
from the range 30-60°C or the mixture is heated to a temperature from said range,
e.g. about 50°C, especially in case that solid raltegravir potassium is provided in
step (a), with forming a solution. The solution thus tempered is then preferably cooled
before step (c), i.e. before separation.
[0037] Ambient temperature means in the context of the invention a temperature range from
room temperature to about 30°C, comprising e.g. 20 to 30 °C and preferably about 23
to 26 °C.
[0038] The cocrystal defined under a, b, c and d is isolated e.g. by decantation of the
liquid, centrifugation and/or filtering off the crystals, which are subsequently dried,
e.g. in vacuum, inert gas flow or both, typically at ambient temperature or elevated
temperatures up to 80°C.
[0039] Cocrystals of the invention enable to improve the dissolution characteristics of
raltegravir potassium, i.e. providing a better dissolution kinetic profile with respect
to the previously known raltegravir potassium.
[0040] Cocrystals defined under a, b, c and d are thermodynamically stable and can be dried
at elevated temperatures, e.g. below 80°C, and are obtained as a fine powder with
typical particle size distributions with the median size between 1 and 50 µm, preferably
between 1 to 10 µm. This particle size range ensures a fast dissolution profile, while
retaining the favourable handling properties in the formulation process.
[0041] Cocrystal defined under a, b, c and d are less prone to water uptake under humidity,
and is easy to formulate. Cocrystal defined under a, b, c and d generally contains
minor amounts of water, mainly within its crystal structure, the amounts usually ranging
from 1.5 to 5% of water, relative to the total weight of the solid phase.
[0042] Cocrystals of the present invention may be used in pharmaceutical compositions in
the same way as other forms of raltegravir potassium previously known.
[0043] The present invention further pertains to a pharmaceutical composition comprising
the crystalline material or multicomponent molecular crystal described above, comprising
N-[2-[(4Z)-4-[[(4-fluorophenyl)methylamino]-hydroxymethylidene]-1-methyl-5,6-dioxopyrimidin-2-yl]propan-2-yl]-5-methyl-1,3,4-oxadiazole-2-carboxamide
potassium salt and cyclamic acid, saccharin, stearic acid or succinic acid as a coformer,
and a pharmaceutically acceptable carrier or diluent. Preferred is a pharmaceutical
composition comprising N-[2-[(4Z)-4-[[(4-fluorophenyl)methylamino]-hydroxymethylidene]-1-methyl-5,6-dioxopyrimidin-2-yl]propan-2-yl]-5-methyl-1,3,4-oxadiazole-2-carboxamide
potassium salt and the coformer within the same crystalline phase,
characterized in that
the coformer is cyclamic acid, and the composition exhibits at least one X-ray powder
diffraction peak, expressed in d-values (Å), selected from the group consisting of
16.77, 13.89, 6.95, 4.21;
or the coformer is saccharin, and the composition exhibits at least one X-ray powder
diffraction peak, expressed in d-values (Å), selected from the group consisting of
14.52, 13.93, 10.70, 6.96;
or the coformer is stearic acid, and the composition exhibits at least one X-ray powder
diffraction peak, expressed in d-values (Å), selected from the group consisting of
24.63, 16.59, 15.39, 9.99;
or the coformer is succinic acid, and the composition exhibits at least one X-ray
powder diffraction peak, expressed in d-values (Å), selected from the group consisting
of 13.83, 10.64, 9.16, 6.94, 5.34, 4.39.
[0044] The present invention is also directed to a pharmaceutical composition comprising
a solid form containing cyclamic acid, or especially crystal form defined under a,
of N-[2-[(4Z)-4-[[(4-fluorophenyl)methylamino]-hydroxymethylidene]-1-methyl-5,6-dioxopyrimidin-2-yl]propan-2-yl]-5-methyl-1,3,4-oxadiazole-2-carboxamide
potassium salt and hydrates thereof, and a pharmaceutically acceptable carrier or
diluent.
[0045] The present invention is also directed to a pharmaceutical composition comprising
a solid form containing saccharin, or especially crystal form defined under b , of
N-[2-[(4Z)-4-[[(4-fluorophenyl)methylamino]-hydroxymethylidene]-1-methyl-5,6-dioxopyrimidin-2-yl]propan-2-yl]-5-methyl-1,3,4-oxadiazole-2-carboxamide
potassium salt and hydrates thereof, and a pharmaceutically acceptable carrier or
diluent.
[0046] The present invention is also directed to a pharmaceutical composition comprising
a solid form containing stearic acid, or especially crystal form defined under c ,
of N-[2-[(4Z)-4-[[(4-fluorophenyl)methylamino]-hydroxymethylidene]-1-methyl-5,6-dioxopyrimidin-2-yl]propan-2-yl]-5-methyl-1,3,4-oxadiazole-2-carboxamide
potassium salt and hydrates thereof, and a pharmaceutically acceptable carrier or
diluent.
[0047] The present invention is also directed to a pharmaceutical composition comprising
a solid form containing succinic acid, or especially crystal form defined under d
, of N-[2-[(4Z)-4-[[(4-fluorophenyl)methylamino]-hydroxymethylidene]-1-methyl-5,6-dioxopyrimidin-2-yl]propan-2-yl]-5-methyl-1,3,4-oxadiazole-2-carboxamide
potassium salt and hydrates thereof, and a pharmaceutically acceptable carrier or
diluent.
[0048] The amount of solid (especially crystalline) forms of N-[2-[(4Z)-4-[[(4-fluorophenyl)methylamino]-hydroxymethylidene]-1-methyl-5,6-dioxopyrimidin-2-yl]propan-2-yl]-5-methyl-1,3,4-oxadiazole-2-carboxamide
potassium salt, or hydrates thereof, substantially depends on type of formulation
and desired dosages during administration time periods. The amount in an oral formulation
may be, for example, from 0.1 to 1000 mg, preferably from 1 to 500 mg, and more preferably
from 5 to 400 mg.
[0049] Oral formulations may be solid formulations such as capsules, tablets, pills and
troches, or liquid formulations such as aqueous suspensions, elixirs and syrups. Solid
and liquid formulations encompass also incorporation of the present solid form, especially
co-crystal forms a, b, c and/or d, into liquid or solid food.
[0050] The solid forms according to the invention may be directly used as powders (micronized
particles), granules, suspensions or solutions, or they may be combined together with
other pharmaceutically acceptable ingredients in admixing the components and optionally
finely divide them, and then filling capsules, composed for example from hard or soft
gelatine, compressing tablets, pills or troches, or suspend or dissolve them in carriers
for suspensions, elixirs and syrups. Coatings may be applied after compression to
form pills.
[0051] Pharmaceutically acceptable ingredients are well known for the various types of formulation
and may be for example binders such as natural or synthetic polymers, excipients,
lubricants, surfactants, sweetening and flavouring agents, coating materials, preservatives,
dyes, thickeners, adjuvants, antimicrobial agents and carriers for the various formulation
types.
[0052] Examples for binders are gum tragacanth, acacia, starch, gelatine, and biological
degradable polymers such as homo- or co-polyesters of dicarboxylic acids, alkylene
glycols, polyalkylene glycols and/or aliphatic hydroxyl carboxylic acids; homo- or
copolyamides of dicarboxylic acids, alkylene diamines, and/or aliphatic amino carboxylic
acids; corresponding polyester-polyamide-co-polymers, polyanhydrides, polyortho-esters,
polyphosphazene and polycarbonates. The biological degradable polymers may be linear,
branched or crosslinked. Specific examples are poly-glycolic acid, poly-lactic acid,
and poly-d,l-lactide/glycolide. Other examples for polymers are water-soluble polymers
such as polyoxaalkylenes (polyoxaethylene, polyoxapropylene and mixed polymers thereof,
poly-acrylamides and hydroxylalkylated polyacrylamides, poly-maleic acid and esters
or -amides thereof, poly-acrylic acid and esters or -amides thereof, poly-vinylalcohol
und esters or -ethers thereof, poly-vinylimidazole, poly-vinylpyrrolidon, und natural
polymers like chitosan, carragenan or hyaluronic aid.
Examples for excipients are phosphates such as dicalcium phosphate.
[0053] Examples for lubricants are natural or synthetic oils, fats, waxes, or fatty acid
salts like magnesium stearate.
[0054] Surfactants may be anionic, anionic, amphoteric or neutral. Examples for surfactants
are lecithin, phospholipids, octyl sulfate, decyl sulfate, dodecyl sulfate, tetradecyl
sulfate, hexadecyl sulfate and octadecyl sulfate, Na oleate or Na caprate, 1-acylaminoethane-2-sulfonic
acids, such as 1-octanoylaminoethane-2-sulfonic acid, 1-decanoylaminoethane-2-sulfonic
acid, 1-dodecanoylaminoethane-2-sulfonic acid, 1-tetradecanoylaminoethane-2-sulfonic
acid, 1-hexadecanoylaminoethane-2-sulfonic acid, and 1-octadecanoylaminoethane-2-sulfonic
acid, and taurocholic acid and tauro-deoxycholic acid, bile acids and their salts,
such as cholic acid, deoxycholic acid and sodium glycocholates, sodium caprate or
sodium laurate, sodium oleate, sodium lauryl sulphate, sodium cetyl sulphate, sulfated
castor oil and sodium dioctylsulfosuccinate, cocamidopropylbetaine and laurylbetaine,
fatty alcohols, cholesterols, glycerol mono-or -distearate, glycerol mono- or -dioleate
and glycerol mono- or -dipalmitate, and poly-oxyethylene stearate.
[0055] Examples for sweetening agents are sucrose, fructose, lactose or aspartam.
[0056] Examples for flavouring agents are peppermint, oil of wintergreen or fruit flavours
like cherry or orange flavour.
[0057] Examples for coating materials gelatine, wax, shellac, sugar or biological degradable
polymers.
[0058] Examples for preservatives are methyl or propylparabens, sorbic acid, chlorobutanol,
phenol and thimerosal.
[0059] Examples for adjuvants are fragrances.
[0060] Examples for thickeners are synthetic polymers, fatty acids and fatty acid salts
and esters and fatty alcohols.
[0061] Examples for liquid carriers are water, alcohols such as ethanol, glycerol, propylene
glycol, liquid polyethylene glycols, triacetin and oils. Examples for solid carriers
are talc, clay, microcrystalline cellulose, silica, alumina and the like.
[0062] The formulation according to the invention may also contain isotonic agents, such
as sugars, buffers or sodium chloride.
[0063] The solid forms according to the invention may also be formulated as effervescent
tablet or powder, which disintegrate in an aqueous environment to provide a drinking
solution.
[0064] A syrup or elixir may contain the polymorph of the invention, sucrose or fructose
as sweetening agent a preservative like methylparaben, a dye and a flavouring agent.
[0065] The dosages include dosages suitable for oral, buccal, rectal, parenteral (including
subcutaneous, intramuscular, and intravenous), inhalant and ophthalmic administration.
Although the most suitable route in any given case will depend on the nature and severity
of the condition being treated, the most preferred route of the present invention
is oral. The dosages may be conveniently presented in unit dosage form and prepared
by any of the methods well-known in the art of pharmacy.
[0066] Dosage forms include solid dosage forms, like tablets, powders, capsules, suppositories,
sachets, troches and losenges as well as liquid suspensions and elixirs. While the
description is not intended to be limiting, the invention is also not intended to
pertain to true solutions of raltegravir, or its potassium salt, whereupon the properties
that distinguish the solid forms of the invention are lost. However, the use of the
novel forms to prepare such solutions is considered to be within the contemplation
of the invention.
[0067] Capsule dosages, of course, will contain the solid composition within a capsule which
may be made of gelatin or other conventional encapsulating material. Tablets and powders
may be coated. Tablets and powders may be coated with an enteric coating. The enteric
coated powder forms may have coatings comprising phthalic acid cellulose acetate,
hydroxypropylmethyl-cellulose phthalate, polyvinyl alcohol phthalate, carbox-ymethylethylcellulose,
a copolymer of styrene and maleic acid, a copolymer of meth-acrylic acid and methyl
methacrylate, and like materials, and if desired, they may be employed with suitable
plasticizers and/or extending agents. A coated tablet may have a coating on the surface
of the tablet or may be a tablet comprising a powder or granules with an enteric-coating.
[0068] Slow release formulations may also be prepared from the crystal form according to
the invention in order to achieve a controlled release of the active agent in contact
with the body fluids in the gastro intestinal tract, and to provide a substantial
constant and effective level of the active agent in the blood plasma. The crystal
forms may be embedded for this purpose in a polymer matrix of a biological degradable
polymer, a water-soluble polymer or a mixture of both, and optionally suitable surfactants.
Embedding can mean in this context the incorporation of micro-particles in a matrix
of polymers. Controlled release formulations are also obtained through encapsulation
of dispersed micro-particles or emulsified micro-droplets via known dispersion or
emulsion coating technologies.
[0069] In a preferred embodiment, the cocrystal defined under a, b, c, or d of the invention
is administered orally in a pharmaceutical composition comprising the cocrystal and
hydroxypropylmethylcellulose (e.g., HPMC 2910), wherein the composition is compressed
into a tablet. In another preferred embodiment, the cocrystal defined under a, b,
c, or d of the invention is administered orally in a pharmaceutical composition comprising
the cocrystal, a poloxamer (e.g., poloxamer 407), hydroxypropylmethylcellulose (e.g.,
HPMC 2208), and lactose (e.g., lactose monohydrate), wherein the composition is compressed
into a tablet.
[0070] The crystal forms of the invention are also useful for administering a combination
of therapeutic effective agents to an animal. Such a combination therapy can be carried
out in using at least one further therapeutic agent which can be additionally dispersed
or dissolved in a formulation.
[0071] The crystal forms of this invention and its formulations respectively can be also
administered in combination with other therapeutic agents that are effective to treat
a given condition to provide a combination therapy.
[0072] The present invention includes administration of an effective amount of either of
cocrystals defined above under a, b, c and d (either alone or as the active component
of a pharmaceutical composition) for inhibiting HIV integrase, for the treatment or
prophylaxis of HIV infection, or for the treatment, prophylaxis, or delay in the onset
of AIDS to a subject in need of such inhibition, treatment, prophylaxis, or delay.
The present invention also includes the use of a cocrystals defined above under a,
b, c and d in combination with an anti-HIV agent.The term "administration" and variants
thereof (e.g., "administering" a compound) in reference to a cocrystal defined under
a, b, c, or d of the invention mean providing the salt to the individual in need of
inhibition, treatment or prophylaxis. When a cocrystal defined under a, b, c, or d
of the invention is provided in combination with one or more other active agents (e.g.,
antiviral agents useful for treating or prophylaxis of HIV infec-tion or AIDS), "administration"
and its variants are each understood to include provision of the compound or prodrug
and other agents at the same time (separately or together)
or at different times.
[0073] The term "anti-HIV agent" means an agent which is effective in one or more of the
following uses: inhibiting integrase or another enzyme required for HIV replication
or infection, prophylaxis of HIV infection, treating HIV infection, delaying the onset
of AIDS, prophylaxis of AIDS, or treating AIDS. Suitable anti-HIV agents include HIV/AIDS
antiviral agents, anti-infective agents, and immunomodulators.
[0074] The crystalline forms of the invention may be used as single component or as mixtures
with other solid forms, which may be crystalline or amorphous.
[0075] As to the novel crystalline forms of raltegravir potassium it is preferred that these
contain 25-100% by weight, especially 50-100% by weight, of at least one of the novel
forms, based on the total amount of raltegravir potassium. Preferably, such an amount
of the novel polymorphic forms of raltegravir potassium is 75-100% by weight, especially
90-100% by weight. Highly preferred are forms consisting essentially of one or more
of the present crystalline forms; the term "consisting essentially of" here and elsewhere
in this text means an amount of 95-100% by weight.
[0076] Another object of the invention is a method of delivering a solid form of N-[2-[(4Z)-4-[[(4-fluorophenyl)methylamino]-hydroxymethylidene]-1-methyl-5,6-dioxopyrimidin-2-yl]propan-2-yl]-5-methyl-1,3,4-oxadiazole-2-carboxamide
potassium salt and/or hydrates thereof to a host, which method comprises administering
to a host an effective amount of said solid form, especially crystal form a, b, c
and/or d, according to the invention.
[0077] A further object of the invention is the use of a crystal form a and/or solid form
containing cyclamic acid, of N-[2-[(4Z)-4-[[(4-fluorophenyl)methylamino]-hydroxymethylidene]-1-methyl-5,6-dioxopyrimidin-2-yl]propan-2-yl]-5-methyl-1,3,4-oxadiazole-2-carboxamide
potassium salt, or hydrates thereof, for the manufacture of a medicament useful for
inhibiting HIV integrase, for the treatment or prophylaxis of HIV infection, or for
the treatment, prophylaxis, or delay in the onset of AIDS to a subject in need of
such inhibition, treatment, prophylaxis, or delay. Especially for use in a mammal,
such as a human; and the solid forms according to the invention for use in medical
therapy. The present invention also includes the use of a cocrystals defined above
under a in combination with an anti-HIV agent. A further object of the invention is
the use of a crystal form b and/or solid form contain-ing saccharine, of N-[2-[(4Z)-4-[[(4-fluorophenyl)methylamino]-hydroxymethylidene]-1-methyl-5,6-dioxopyrimidin-2-yl]propan-2-yl]-5-methyl-1,3,4-oxadiazole-2-carboxamide
potassium salt, and hydrates thereof, for the manufacture of a medicament useful for
inhibiting HIV integrase, for the treatment or prophylaxis of HIV infection, or for
the treatment, prophylaxis, or delay in the onset of AIDS to a subject in need of
such inhibi-tion, treatment, prophylaxis, or delay. Especially for use in a mammal,
such as a hu-man; and the solid forms according to the invention for use in medical
therapy. The present invention also includes the use of a cocrystals defined above
under b in com-bination with an anti-HIV agent.
[0078] A further object of the invention is the use of a crystal form c and/or solid form
containing stearic acid, of N-[2-[(4Z)-4-[[(4-fluorophenyl)methylamino]-hydroxymethylidene]-1-methyl-5,6-dioxopyrimidin-2-yl]propan-2-yl]-5-methyl-1,3,4-oxadiazole-2-carboxamide
potassium salt, and hydrates thereof, for the manufacture of a medicament useful for
inhibiting HIV integrase, for the treatment or prophylaxis of HIV infection, or for
the treatment, prophylaxis, or delay in the onset of AIDS to a subject in need of
such inhibition, treatment, prophylaxis, or delay. Especially for use in a mammal,
such as a human; and the solid forms according to the invention for use in medical
therapy. The present invention also includes the use of a cocrystals defined above
under c in combination with an anti-HIV agent.
[0079] A further object of the invention is the use of a crystal form d and/or solid form
containing succinic acid, of N-[2-[(4Z)-4-[[(4-fluorophenyl)methylamino]-hydroxymethylidene]-1-methyl-5,6-dioxopyrimidin-2-yl]propan-2-yl]-5-methyl-1,3,4-oxadiazole-2-carboxamide
potassium salt, and hydrates thereof, for the manufacture of a medicament useful for
inhibiting HIV integrase, for the treatment or prophylaxis of HIV infection, or for
the treatment, prophylaxis, or delay in the onset of AIDS to a subject in need of
such inhibition, treatment, prophylaxis, or delay. Especially for use in a mammal,
such as a human; and the solid forms according to the invention for use in medical
therapy. The present invention also includes the use of a cocrystals defined above
under d in combination with an anti-HIV agent
[0080] The following examples illustrate the invention.
[0081] Wherever noted, room temperature depicts a temperature from the range 18-23°C; percentages
are given by weight, if not indicated otherwise.
[0082] Abbreviations used in in the examples or in the above specification:
| Å |
the length 10-10 m (Angstroem) |
| HPLC |
high pressure liquid chromatography |
| NMR |
nuclear magnetic resonance |
| FTIR |
Fourier-transformation infrared spectrometry |
| DSC |
Differential scanning calorimetry |
| r.h. |
relative humidity (air, if not indicated otherwise) |
| TG |
thermogravimetry |
| v/v |
volume by volume |
Instrumental
[0083] Powder X-ray diffraction (PXRD) is carried out with a Panalytical X'Pert Pro X-ray
diffractometer using Cu
K-alpha radiation in reflection (Bragg-Brentano) geometry. 2θ values are accurate within
an error of ±0.1-0.2°. The samples are prepared without any special treatment other
than the application of slight pressure to get a flat surface. The tube voltage is
40 kV, current is 40 mA. The XRPD diffractograms are collected at room temperature
in the geometry in the range from 2θ =3°-35°C with increments of 0.0167°C.
[0084] Thermogravimetry: The thermogravimetric measurements are carried out with a Mettler
Toledo TGA/SDTA851e module. The thermal behaviour is analysed in the range 30-250°C
by using a heating rate of 5°C/min and a stream of nitrogen flowing at 150 ml/ during
the experiment.
[0085] DSC is performed on a Mettler Toledo DSC 822e module. The sample is placed in crimped
but vented aluminium pans (sample size was 10 mg). The thermal behaviour is analysed
in the range 30 - 250°C by using a heating rate of 5°C/min and a stream of nitrogen
flowing at 150 ml/ during the experiment.
[0086] 1 H-NMR: The 1 H-NMR spectra are recorded on a Bruker DPX 300 spectrometer. Solvent:
dmso-d6.
Experimental
[0087] Solvents: For all experiments, Fluka or Merck grade solvents are used.
Educts:
[0088] N-Cyclohexylsulfamic acid (Aldrich - 29550-500G, purum, min 98,0%);
Saccharin (Fluka - 12475, purum, > 99,0%);
Stearic acid (Sigma - 17.536-6, Reagent grade, min. 95%);
Succinic acid (Merck - 8.22260.0250, min. 99%);
Raltegravir potassium: Anhydrous crystalline form as of
WO06060712.
Crystallization experiments:
[0089] The crystallization experiments are performed on a Crystalline device. The glass
vials containing the crystallization solutions are stirred using magnetic stirrers
and are placed into a temperature controlled chamber. The applied cooling rate is
1 K/min. The solutions are cooled until -20 °C .
Example 1: Preparation of the co-crystal comprising raltegravir potassium salt and cyclamic
acid.
[0090] 73 mg of raltegravir potassium salt and 27 mg of cyclamic acid are suspended in 3
ml of isopropanol. The suspension is stirred at 25 °C for 24 hours. The obtained solid
is filtered and air dried overnight. XRPD of the dried sample shows the pattern shown
in Figure 1, corresponding to a co-crystal comprising raltegravir potassium and cyclamic
acid. DSC confirms the formation of a pure phase (m.p. 208°C) and TG does not show
any mass loss, indicating the formation of an anhydrous phase. 1 H-NMR (measured in
dmso-d6) shows the spectrum of a mixture of raltegravir and cyclamic acid acid. Elemental
analysis confirm the expected amount of potassium.
Example 2: Preparation of the co-crystal comprising raltegravir potassium salt and saccharin.
[0091] 73 mg of raltegravir potassium salt and 27 mg of saccharin are suspended in 3 ml
of ethyl acetate. The suspension is stirred at 25 °C for 24 hours. The obtained solid
is filtered and air dried overnight. XRPD of the dried sample shows the pattern shown
in Figure 2, corresponding to a co-crystal comprising raltegravir potassium and saccharin.
DSC confirms the formation of a pure phase (m.p. 247°C) and TG does not show any mass
loss, indicating the formation of an anhydrous phase. 1 H-NMR (measured in dmso-d6)
shows the spectrum of a mixture of raltegravir and saccharin. Elemental analysis confirm
the expected amount of potassium.
Example 3: Preparation of the co-crystal comprising raltegravir potassium salt and stearic acid.
[0092] 63 mg of raltegravir potassium salt and 37 mg of stearic acid are suspended in 3
ml of acetone. The suspension is stirred at 25 °C for 24 hours. The obtained solid
is filtered and air dried overnight. XRPD of the dried sample shows the pattern shown
in Figure 3, corresponding to a co-crystal comprising raltegravir potassium and stearic
acid. DSC confirms the formation of a pure phase (m.p.107°C) and TG does not show
any mass loss, indicating the formation of an anhydrous phase. 1 H-NMR (measured in
dmso-d6) shows the spectrum of a mixture of raltegravir and stearic acid acid. Elemental
analysis confirm the expected amount of potassium.
Example 4: Preparation of the co-crystal comprising raltegravir potassium salt and succinic
acid.
[0093] 80 mg of raltegravir potassium salt and 20 mg of succinic acid are suspended in 3
ml of ethyl acetate. The suspension is stirred at 25 °C for 24 hours. The obtained
solid is filtered and air dried overnight. XRPD of the dried sample shows the pattern
shown in Figure 4, corresponding to a co-crystal comprising raltegravir potassium
and succinic acid. DSC confirms the formation of a pure phase (m.p. 249°C) and TG
does not show any mass loss, indicating the formation of an anhydrous phase. 1 H-NMR
(measured in dmso-d6) shows the spectrum of a mixture of raltegravir and succinic
acid acid. Elemental analysis confirm the expected amount of potassium.
[0094] Brief description of Figures:
Figure 1: Powder X-Ray Diffraction pattern of raltegravir potassium and cyclamic acid co-crystal
Figure 2: Powder X-Ray Diffraction pattern of raltegravir potassium and saccharin co-crystal
Figure 3: Powder X-Ray Diffraction pattern of raltegravir potassium and stearic acid co-crystal
Figure 4: Powder X-Ray Diffraction pattern of raltegravir potassium and succinic acid co-crystal
1. A crystalline material comprising N-[2-[(4Z)-4-[[(4-fluorophenyl)methylamino]-hydroxymethylidene]-1-methyl-5,6-dioxopyrimidin-2-yl]propan-2-yl]-5-methyl-1,3,4-oxadiazole-2-carboxamide
potassium salt and a coformer selected from the group consisting of cyclamic acid,
stearic acid, saccharin, and succinic acid, especially within the same crystalline
phase.
2. Crystalline material of claim 1, which is a co-crystal containing N-[2-[(4Z)-4-[[(4-fluorophenyl)methylamino]-hydroxymethylidene]-1-methyl-5,6-dioxopyrimidin-2-yl]propan-2-yl]-5-methyl-1,3,4-oxadiazole-2-carboxamide
potassium salt and the coformer within the same crystalline phase in a molar ratio
ranging from from 2:1 to 1:2, in particular from 1.5:1 to 1:1.5, and especially from
1.1:1 to 1:1.1.
3. Crystalline material according to claim 1 or 2 comprising a multicomponent molecular
crystal (co-crystal) containing N-[2-[(4Z)-4-[[(4-fluorophenyl)methylamino]hydroxymethylidene]-1-methyl-5,6-dioxopyrimidin-2-yl]propan-2-yl]-5-methyl-1,3,4-oxadiazole-2-carboxamide
potassium salt and cyclamic acid, exhibiting a X-ray powder diffraction pattern with
the characteristic peaks, expressed in d-values (Å), 16.77 (vs), 13.89 (m), 6.95 (m),
4.21 (m); especially with the characteristic peaks, expressed in d-values (Å), 16.77
(vs), 13.89 (m), 10.68 (w), 8.07 (w), 7.48 (w), 6.95 (m), 6.43 (w), 5.69 (w), 5.34
(w), 4.21 (m).
4. Crystalline material according to claim 1 or 2 comprising a multicomponent molecu-lar
crystal (co-crystal) containing N-[2-[(4Z)-4-[[(4-fluorophenyl)methylamino]-hydroxymethylidene]-1-methyl-5,6-dioxopyrimidin-2-yl]propan-2-yl]-5-methyl-1,3,4-oxadiazole-2-carboxamide
potassium salt and saccharin, exhibiting a X-ray powder diffraction pattern with the
characteristic peaks, expressed in d-values (Å), 14.52 (vs), 13.93 (s), 10.70 (m),
6.96 (s); especially with the characteristic peaks, expressed in d-values (Å), 14.52
(vs), 13.93 (s), 10.70 (m), 8.10 (w), 7.52 (w), 6.96 (s), 6.42 (w), 4.47 (w), 4.40
(w), 4.10 (w).
5. Crystalline material according to claim 1 or 2 comprising a multicomponent molecular
crystal (co-crystal) containing N-[2-[(4Z)-4-[[(4-fluorophenyl)methylamino]-hydroxymethylidene]-1-methyl-5,6-dioxopyrimidin-2-yl]propan-2-yl]-5-methyl-1,3,4-oxadiazole-2-carboxamide
potassium salt and stearic acid, exhibiting a X-ray powder diffraction pattern with
the characteristic peaks, expressed in d-values (Å), 24.63 (s), 16.59 (vs), 15.39
(m), 9.99 (m); especially with the characteristic peaks, expressed in d-values (Å),
24.63 (s), 16.59 (vs), 15.39 (m), 12.48 (w), 9.99 (m), 8.37 (w), 7.16 (w), 5.39 (w),
5.20 (w), 4.54 (w).
6. Crystalline material according to claim 1 or 2 comprising a multicomponent molecular
crystal (co-crystal) containing N-[2-[(4Z)-4-[[(4-fluorophenyl)methylamino]-hydroxymethylidene]-1-methyl-5,6-dioxopyrimidin-2-yl]propan-2-yl]-5-methyl-1,3,4-oxadiazole-2-carboxamide
potassium salt and succinic acid, exhibiting a X-ray powder diffraction pattern with
the characteristic peaks, expressed in d-values (Å), 13.83 (vs), 10.64 (s), 9.16 (s),
6.94 (vs), 5.34 (m), 4.39 (m); especially with the characteristic peaks, expressed
in d-values (Å), 13.83 (vs), 10.64 (s), 9.16 (s), 7.93 (w), 6.94 (vs), 6.40 (w), 5.69
(w), 5.34 (m), 4.46 (w), 4.39 (m).
7. Process for the preparation of a solid form according to any of claims 1 to 6, which
process comprises the steps of
a) combining raltegravir potassium and the coformer in a suitable solvent,
b) agitating the mixture provided in step (a), and
c) separating the solid material and drying.
8. Pharmaceutical composition comprising the crystalline material or multicomponent molecular
crystal according to any of claims 1 to 6 and a pharmaceutically acceptable carrier
or diluent.
9. Pharmaceutical composition of claim 8 comprising N-[2-[(4Z)-4-[[(4-fluorophenyl)methylamino]-hydroxymethylidene]-1-methyl-5,6-dioxopyrimidin-2-yl]propan-2-yl]-5-methyl-1,3,4-oxadiazole-2-carboxamide
potassium salt and the coformer within the same crystalline phase,
characterized in that
the coformer is cyclamic acid, and the composition exhibits at least one X-ray powder
diffraction peak, expressed in d-values (Å), selected from the group consisting of
16.77, 13.89, 6.95, 4.21;
or the coformer is stearic acid, and the composition exhibits at least one X-ray powder
diffraction peak, expressed in d-values (Å), selected from the group consisting of
24.63, 16.59, 15.39, 9.99;
or the coformer is saccharin, and the composition exhibits at least one X-ray powder
diffraction peak, expressed in d-values (Å), selected from the group consisting of
14.52, 13.93, 10.70, 6.96;
or the coformer is succinic acid, and the composition exhibits at least one X-ray
powder diffraction peak, expressed in d-values (Å), selected from the group consisting
of 13.83, 10.64, 9.16, 6.94, 5.34, 4.39.
10. A therapeutic method for inhibiting HIV integrase, for the treatment or prophylaxis
of HIV infection, or for the treatment, prophylaxis, or delay in the onset of AIDS,
which method comprises administering to a subject in need of such therapy an effective
amount of a crystalline material according to any of claims 1 to 6, or of a pharmaceutical
composition according to any of claims 8 and 9.
11. A method of delivering a solid form of N-[2-[(4Z)-4-[[(4-fluorophenyl)methylamino]-hydroxymethylidene]-1-methyl-5,6-dioxopyrimidin-2-yl]propan-2-yl]-5-methyl-1,3,4-oxadiazole-2-carboxamide
potassium salt, which method comprises administering to a host an effective amount
of crystalline material according to any of claims 1 to 6, or of a pharmaceutical
composition according to any of claims 8 and 9.
12. Use of a crystalline material according to any of claims 1 to 6, or of a pharmaceutical
composition according to any of claims 8 and 9 for the manufacture of a medicament,
especially a medicament useful for inhibiting HIV integrase, for the treatment or
prophylaxis of HIV infection, or for the treatment, prophylaxis, or delay in the onset
of AIDS.